Volume V Flashcards
Investigation Reports
Submitted in duplicate
form with F prefix
Permanent form
Form with “Temp” prefix
Temporary form
Station Fire prevention forms
keep 3 years from date made, strictly confidential, refer citizens to arson
company records
book 55
F-8
Roster change
- 3 copies
- forward to personnel services through channels 24 hours after any changes
- forwarding exception; station commander verbally notified
- underline changes in red ink
F-11
Daily station roster
- 3 copies
- discard after usefulness has passed
F-18A
Request for transfer
F-18B
Request for transfer primary vacancies
- 2 copies
- retain till end of calendar year
- route to bureau, duplicate back to member
F-41
used to recommend revision to manuals. notify planning
- 1 copy
DL44c
application for commercial drivers license
- 1 copy
- forward to dmv with DL51
F-70
Hydrant test record
- covers 5 hydrant tests
- 1 copy retained in hydrant book
F-80
store requisition
- 3 copies
- retain 3 months/ 3 years for med supplies
FG 84B
witness card
- non city employee witness of accident
- retain 1 copy permanente with FG 88
FG 88
Form general 88 accident report
- 5 copies permanent retain forward to bureau through channels
F-95
Fire hydrant record
F-100
suggestion form to suggest new methods/ procedures
- 1 copy retained for 5 years in planning
F121
hose inventory record
- record when hose issued
F122
hose and salvage cover overlay keep in bk 55 1 copy
F128
hose and salvage cover record
- 6months
- 1 copy in bk 55
F-129
Annual hose test record
- 2 copies; 1 to equipment engineering 1 in bk 55
F-150
Accident report
- 1 copy forwarded to bureau with f225 fg88 fg84
F151
Accident report procedures kept in accident package
DL170
certificate of driving. used to issue or change class b &a
F175
material to storeroom tag
- yah BO equipment
F181
daily record of fuel dispensed or delivered
- 1 copy for 1 month forward to account services
F-215
Equipment loan receipt
- 2 copies
F-215M
Rescue equipment loan receipt
Use when lending equipment and medical facilities
- 2 copies
- retain 72 hours maximum or until equipment is returned
F-340 Fire Life Safety Violation
Version A B C E
- A&B 3 copies
- C&E 2 copies
- retain 3 years
F-340D
Fire protection performance certification
used to inform owner of required testing maintenance and repair
- 4 copies
- 5 years
F366
Private fire hydrant report
- 2 copies
- file in hydrant test book
F367
Fire hydrant report
sent to station me when installed enlarged relocated or removed
2 copies
forward to hydrant unit within 14 days of receipt
F370
record of drivers training
to document individual driver training activity
2 copies
retain indefinitely in members file/ IST
F377
Bimonthly inspection
preventative maintenance
2 copies
last 6 copies in log book
forward to B/C day before inspection or 15th month
F380
Apparatus yearly mileage
to record miles driven in fiscal year and total miles of vehicle
2 copies
1 year
forward to s&now by 10 days after new year
F392
fuel usage report
fuels consumed during pumping aerial and off highway miles
2 copies
forward to account services no later than 5 days after end of each month
F620
accident packet
retain permanently in vehicle
forms: FG84B, FG88, F-150, F151
F701
Statistical info
retain in log book
(“S” in SAMRBIT)
F702
Assignment record
retain in log book
F704
Maintenance record
records of maintenance and lube
1 copy
retain last 6
F705
Repair record
retain in log book
F706
Battery record
1 copy
discard when full
F709
Inventory
firefighting inventory record
retain in log book
F710
Tire record
1 copy permanently in log book
F972
daily prettily inspection record
1 copy
retain 1 month after last entry in log book
F973W
weekly apparatus/equipment checks (mondays)
1 copy retain in log book one month after last entry
F973M
Monthly apparatus/equipment checks
F974
Reserve apparatus condition and inventory record
1 copy in log book
F975
Lifeline/rescue kit
document: date of use, usage and monthly inspection of kit
retain in BK55
F976
Annual ground ladder inspection record
F977
Apparatus inspection checklist
used by company commander and B/C to document bi monthly inspection of vehicle
1 copy
3 years in log book
signature
company commander and B/C
F978A
Undercarriage inspection list heavy app
1 copy
3 years in log book
B/C and company commander signs
F978B
Undercarriage Record heavy app
used by B/C
only B/C signs
2 copies (1 to s&m)
3 years in log book
F979
SCBA
company commanders/ B/C to document bi monthly inspection of breathers
one copy
three years in bk55
both company commander and B/C sign
F1109A
Visitor Waiver
2copies signed before use of facilities or equip
retain 1 year
B/C signs
F1109B
Indemnity Agreement
use with F1109A
F1122
performance evaluation
1 copy
retain permanently
routing to personnel services section
LAFD forms with the word temp are temporary forms with a field test of __ months or less?
6
PRB’s at time of separation shall be forwarded to?
personnel services
book 55 shall be labeled?
company records
how many subjects are lard forms limited to?
1
how long shall you retain the F-2 Journal?
1 year (forward to manuals & orders kept indefinitely there)
can felt pens be used in f-2?
no
and f-8 roster change is forwarded through channels to personnel services within how many hours?
24
an f-18a request to transfer are routed to ESB. how many copies?
2 (note time and date in F-2)
when submitting an F-18A, request to transfer for stations within the same Battalion, submit one?
for all stations/platoons requested
what is an f-23 report?
emergency overtime (recalled/forwarded w/5054)
an F-41 is used for?
revision report 1 copy to planning
an F-49 ordinance leave shall be forwarded to?
Accounting (FE/ bereavement 1 copy to)
an F-63B daily training and fire prevention activities shall record time to the nearest ___?
1/4 hour
the F-70 hydrant record shall be used to cover how many hydrant tests?
5 (retain 1 full year when form is full)
an FG-79 is a notice of commendation. how many copies are used?
3
non-medical f_80s shall be retained for 3-months. how many copies are generated?
3 (ALS med supplies 3 years 3 copies)
how long shall form general 84B be retained for?
permanently
how soon is FG-84B forwarded?
48 hours
after an accident, how soon shall you forward an FG-88
48 hours (5 copies personnel services)
An F-100 is used for?
suggestions (5 years planning)
How long shall the F-122 over lay for hose and salvage cover record be retained?
Permanently
an F-128 hose and salvage cover record shall be retained where and for how many months?
book 55, 6 months